| NPI | 1821249905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 61314) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704397658) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 693123) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2023-11-17 |